Organization
SAFEWAY MEDICAL LLC
Active
Organization
SAFEWAY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOCO WILLIS (OWNER)
(770) 674-2875
Entity
Organization
Contact information
Practice address
2330 SCENIC HWY S STE 303, SNELLVILLE, GA 30078-3115
(770) 674-2875
(770) 674-2876
Mailing address
2330 SCENIC HWY S STE 303, SNELLVILLE, GA 30078-3115
(770) 674-2875
(770) 674-2876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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